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SECTION 1
THE RANGER MEDIC & CASUALTY RESPONSE SYSTEMS

  • Foreword
  • Ranger Medic Charter
  • Regimental Medical Charter
  • Senior Enlisted Medical Advisor (SEMA) Duties & Responsibilities
    • Scope of Practice
      • 8 Critical RFR Tasks
  • Standing Orders and Protocols
  • Tactical Combat Casualty Care (TCCC)
    • Notes

SECTION 2
PRIMARY TRAUMA PROTOCOLS

  • Triage
    • Tactical Triage Protocol
  • Tactical Trauma Assessment
    • Tactical Trauma Assessment
  • Hemorrhage Management
    • Hemorrhage Control Protocol
    • Tourniquet Application Procedure
    • Tourniquet Conversion Procedure
  • Airway Management
    • Airway Management Protocol
    • Surgical Cricothyroidotomy Procedure
  • Thoracic Trauma Management
    • Thoracic Trauma Management Protocol
    • Needle Chest Decompression Procedure
    • Chest Tube Insertion and Finger Thoracostomy Protocol
  • Tactical Damage Control Resuscitation
    • Tactical Damage Control Resuscitation Protocol
  • Shock Management
    • Saline Lock & Intravenous Access Procedure
    • External Jugular Intravenous Cannulation Procedure
    • Sternal Intraosseous Infusion Procedure
    • Intraosseous Infusion Procedure (Non-Sternal)
    • Hypothermia Prevention & Management Kit Procedure
  • Head Trauma
    • Head Trauma Management Protocol
  • Concussion
    • Concussion Management Protocol
  • Abdominal Trauma
    • Abdominal Trauma Management Protocol
  • Blast Injury Assessment
  • Eye Injury
    • Eye Injury Management Protocol
    • Lateral Canthotomy
  • Seizures
    • Seizure Management Protocol
  • Spinal Cord Injury Management
    • Spinal Cord Injury Management Protocol
  • Orthopedic Trauma
    • Orthopedic Trauma Management Protocol
  • Burn Management
    • Burn Management Protocol
  • Pain Management
    • Pain Management Protocol
    • Procedural Analgesia
  • Regional Anesthesia
  • Austere Extended Care
    • Austere Extended Care Protocol
  • Blood Transfusion
    • Fresh Whole Blood Transfusion (Donor Procedure)
    • Fresh Whole Blood Transfusion (Recipient Procedure)
    • Foley Catheterization Procedure
  • Crush Syndrome Management
  • Evacuation
    • Evacuation Protocol
    • NATO MEDEVAC Request
    • Evacuation Patient Packaging
    • Evacuation Patient Handover
    • Skedco Horizontal Hoist Procedure
    • Skedco Vertical Hoist Procedure
  • CBRN
    • CBRN CCP
    • TICs/TIMs Toxic Inhalation/Eye Exposure
    • Chemical Casualty Triage Table
  • CBRN – Nerve Agents
  • CBRN – Vesicant Agents
  • CBRN – Cyanide Agents
  • CBRN – Pulmonary Agents
    • CBRN Quick Reference Cards
    • Chemical Agent Treatment Guide
    • Notes

SECTION 3
TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) & SICK CALL

  • Medical Patient Assessment
    • Medical Patient Assessment Protocol
  • Abdominal Pain (Includes Surgical Abdomen, GERD, Dyspepsia)
  • Allergic Rhinitis/Hay Fever Protocol
  • Altitude Medical Emergencies
    • Altitude Medical Emergency Management Protocol
  • Anaphylactic Reaction Emergencies
    • Anaphylactic Shock Management Protocol
  • Asthma (Reactive Airway Disease)
  • Barotrauma
  • Behavioral Emergency Management (Includes Psychosis, Depression, Suicidal Impulses)
    • Behavioral Emergency Management Protocol
  • Assessment & Management of Suicidal Risk
    • Assessment & Management of Suicidal Risk Protocol
    • Leader’s Suicide Risk Assessment Tool (L-SRAT)
  • Bronchitis
  • Cellulitis/Cutaneous Abscess
  • Chest Pain
  • Compartment Syndrome
  • Conjunctivitis
  • Constipation/Fecal Impact
  • Contact Dermatitis
  • Corneal Abrasions/Corneal Ulcers
  • Cough
  • Deep Vein Thrombosis (DVT)
  • Dehydration
  • Dengue Fever
  • Dental Pain
  • Determination of Death
  • Electrocution
  • Envenomation – Arthropod (Spider & Scorpion)
  • Envenomation – Insect, Hymenoptera (Bee, Wasp, Hornet)
  • Envenomation – Marine
  • Envenomation – Snake
  • Epistaxis
  • Flank Pain (Includes Renal Colic, Pyelonephritis, Kidney Stones)
  • Frostbite & Frostnip
  • Fungal Skin Infection
  • Gastroenteritis (Diarrhea/Nausea/Vomiting)
  • Headache
  • Headache (Migraine Origin)
  • HIV Post-Exposure Prophylaxis
  • Hyperthermia
    • Hyperthermia (Heat) Management Protocol
  • Hypothermia Management
    • Hypothermia Prevention & Management Protocol
  • Ingrown Toenail
  • Insomnia
  • Joint Infection
  • Laceration
  • Loss of Consciousness (without Seizures)/Syncope
  • Malaria
  • Meningitis
  • Motion Sickness & Prevention
  • Nausea & Vomiting
  • Otitis Externa (Outer Ear Infection or Swimmer’s Ear)
  • Otitis Media (Middle Ear Infection)
  • Pharyngitis Protocol (Oral Pharyngeal Infections including Viral, Strep, Epiglottitis, Peritonsillar Abscess, Mononucleosis)
  • Pneumonia
  • Pulmonary Embolism (PE)
  • Rabies Post-Exposure Prophylaxis
  • Rectal Bleeding
  • Rhabdomyolysis
  • Sepsis/Septic Shock
  • Smoke Inhalation
  • Spontaneous Pneumothorax
  • Subungal Hematoma
  • Testicular Pain
  • Upper Respiratory Infection/Common Cold
  • Urinary Tract Infection
  • Notes

SECTION 4
RANGER MEDIC PHARMACOLOGY & FORMULARY

  • Pharmacology Standards & Guidelines
  • Acetaminophen (Tylenol)
  • Acetazolamide (Diamox)
  • Acetylsalicylic Acid (Aspirin)
  • Albuterol (Proventil)
  • Aluminum Hydroxide, Magnesium Hydroxide (Maalox)
  • Amoxicillin/Clavulanate (Augmentin)
  • Atovaquone-Proguanil (Malarone)
  • Atropine Sulfate
  • Azithromycin (Zithromycin, Z-Pak)
  • Bacitracin
  • Benzathine-Penicillin G (Bicillin)
  • Benzonatate (Tessalon Perles)
  • Bisacodyl (Dulcolax)
  • Bupivacaine (Marcaine)
  • Cefazolin Sodium (ANCEF)
  • Ceftriaxone (Rocephin)
  • Cetirizine (Zyrtec)
  • Cimetidine (Tagamet)
  • Ciprofloxacin (Cipro)
  • Clindamycin (Cleocin)
  • Cyclobenzaprine (Flexeril)
  • Dexamethasone (Decadron)
  • Dextrose (D50)
  • Diazepam (Valium)
  • Diphenhydramine (Benadryl)
  • Docusate (Colace)
  • Doxycycline
  • Epinephrine (Including Epi-Pen)
  • Ertapenem (Invanz)
  • Erythromycin Ophthalmic Ointment
  • Eszopiclone (Lunesta)
  • Fentanyl Oral Lozenge (Actiq)
  • Fexofenadrine (Allegra)
  • Fluconazole (Diflucan)
  • Fluticasone (Flonase)
  • Gatifloxacin Ophthalmic Solution (Zymar)
  • Guaifenesin
  • Hydrocortisone Cream
  • Hydromorphone (Dilaudid)
  • Ibuprofen (Motrin, Advil)
  • Ketoconazole
  • Ketamine
  • Ketorolac (Toradol)
  • Lactated Ringer’s (LR)
  • Levetiracetam (Keppra)
  • Levofloxacin (Levoquin)
  • Lidocaine (Xylocaine)
  • Loperamide (Imodium)
  • Loratadine (Claritin)
  • Meclizine (Antivert)
  • Melatonin
  • Meloxicam (Mobic)
  • Methocarbomol (Robaxin)
  • Methylprednisolone (Solu-Medrol)
  • Metronidazole (Flagyl, MetroGEL)
  • Midazolam (Versed)
  • Modafinil (Provigil)
  • Morphine Sulfate (MSO4)
  • Moxifloxacin (Avelox)
  • Mupriocin (Bactroban)
  • Naloxone (Narcan)
  • Naphazoline (Naphcon-A, Vascon, Clear Eyes)
  • Naproxen (Naprosyn)
  • Nitrofurantoin (Macrobid)
  • Ofloxacin Otic (Floxin)
  • Omeprazole (Prilosec)
  • Ondansetron (Zofran)
  • Oxymetazoline (Afrin)
  • Plasma-Lyte A
  • Polyethylene Glycerol (MiraLAX)
  • Prednisone
  • Primaquine
  • Promethazine (Phenergan)
  • Pseudoephedrine (Sudafed)
  • Rabeprazole (Aciphex)
  • Rizatriptan (Maxalt)
  • Scopolamine (Transderm Scop)
  • Sodium Chloride, 0.9% (Normal Saline)
  • Sodium Chloride, 3% (Hypertonic Saline)
  • Sufentanil (Dsuvia)
  • Sumatriptan (Imatrex)
  • Terbinafine (Lamisil)
  • Tetracaine Ophth
  • Tranexamic Acid (TXA)
  • Trimethoprim-Sulfamethoxazole (TMP-SMZ, Bactrim, Septra)
  • Zolpidem (Ambien)
  • Tylenol (see Acetaminophen)
  • Valium (see Diazepam)
  • Versed (see Midazolam)
  • Zithromycin/Z-Pak (see Azithromycin)
  • Zofran (see Ondansetron)
    • Drug Quick Reference
    • Pharmacology Notes

SECTION 5
SPORTS MEDIC SCOPE OF PRACTICE

  • Shoulder – Traumatic & Acute Pain
  • Arm/Elbow – Traumatic & Acute Pain
  • Hand/Wrist – Traumatic & Acute Pain
  • Hip – Traumatic & Acute Pain
  • Leg – Traumatic & Acute Pain
  • Knee – Traumatic & Acute Pain
  • Ankle – Traumatic & Acute Pain
    • Notes

SECTION 6
MPC/CANINE TRAUMA & TACTICAL MEDICAL EMERGENCY PROTOCOLS

  • Canine Patient Assessment
  • Canine Trauma & Shock Management
  • Canine Field Blood Transfusion Procedure
    • Canine Injection & IV Sites
  • Canine Tactical Medical Emergencies
    • Canine Heat Injury
    • Canine Gastric Dilatation Volvulus (GDV)
    • Canine Altitude Sickness and Pulmonary Edema
    • Canine Seizure Management
    • Canine Toxicities – Explosives, Others
    • Canine CBRNE
    • MPC Reference Card

SECTION 7
MEDICAL PLANNING & CASUALTY COLLECTION OPERATIONS

  • Casualty Response Planning Overview
  • Ranger Casualty Response Planning
  • Predeployment Requirements
  • Medical Threat Assessment
  • Higher Headquarters Orders and Guidelines
  • Determine Medical Assets
  • Tactical Medical Support Plan Development
  • QRF Capabilities and Integration
  • Briefs, Rehearsals, and Precombat Inspections
  • Sustained Combat Operations & Time-Sensitive Targets
  • Casualty Collection Point Operations
  • Relief-in-Place Operations
    • Notes

SECTION 8
HAZARDOUS TRAINING MEDICAL COVERAGE

  • Hazardous Training Medical Coverage Duties & Responsibilities
  • Hazardous Training Medical Coverage Planning
    • Equipment Requirements
    • Medical Coverage During Tactical Exercises
    • Pre-Coverage Inspections
    • Pre-Coverage Rehearsals
  • Hazardous Training Medical Coverage Checklist

SECTION 9
PACKING LISTS

  • Kit/Aid Bag Minimum Stock
  • Advanced Ranger First Responder Medical Kit Contents
  • Ranger Bleeder Control Kit Contents

SECTION 10
REFERENCES & ABBREVIATIONS

  • Abbreviations & Acronyms
  • MACE 2
  • Reference Charts
  • Conversion Charts
  • Neuro Exam Reference Chart
  • Ketamine Drip Tables
  • ARDSnet Vent Settings
  • Ranger Casualty Card
  • Prolonged Field Care Card
  • TBI RTD Card